LANCE BRANDON LARGE (MD) – Family Medicine Physician, NPI 1750362554
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2024-12-19. Reason: License revocation, suspension, or surrender.
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LANCE BRANDON LARGE (MD)
1375, North Tenth Avenue, Stayton, Marion County, Oregon, 97383, United States
STAYTON, OR 973832099
Phone: (503) 769-2641
Fax: (503) 769-3797
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $724.
Total Amount is formed as General ($724) + Research ($0) + Ownership ($0) = $724.
Last reported payment date: 2023-06-29 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($131).
Total Amount
$724
General + Research + Ownership
Payments
41
Total payment records
General Amount
$724
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $131 |
| ABBVIE INC. | $115 |
| Bayer Healthcare Pharmaceuticals Inc. | $93 |
| Exact Sciences Corporation | $93 |
| Lilly USA, LLC | $79 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 95 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 37 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 35 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97383)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OR | 83036 | Hemoglobin A1C level | 35 | 26 |
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